Individual
KRISTIN GOERTZ BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15655 PACIFIC ST STE 101, OMAHA, NE 68118-2114
(402) 697-5122
Mailing address
1655 N MAIN ST APT F, ELKHORN, NE 68022-4365
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
138173
IA
152W00000X
Optometrist
Primary
1693
NE
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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